Individual provider Active NPI

Maria Cristina Jimenez-Salazar, M.A.

  • Student in an Organized Health Care Education/Training Program
  • Tarrytown, NY
National Provider Identifier
1760067193
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
155 White Plains Rd Ste 200
Tarrytown, NY 10591-5523
Phone
(646) 317-3601
Fax
(646) 317-3600
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

155 White Plains Rd Ste 200
Tarrytown, NY 10591-5523

Mailing address

823 Clarence Ave
Bronx, NY 10465-1605
Phone (717) 418-3885

Other practice location 1

823 Clarence Ave
Bronx, NY 10465-1605
Phone (717) 418-3885

Other practice location 2

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (415) 206-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107002104 NY Order and Referring Only - Clinical Psychologist 3577049832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1760067193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 CLARENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651605",
            "telephone_number": "717-418-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WHITE PLAINS RD STE 200",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915523",
            "telephone_number": "646-317-3601",
            "fax_number": "646-317-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Clarence Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104651605",
            "country_code": "US",
            "telephone_number": "717-418-3885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Potrero Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-5270",
            "fax_number": "415-206-5290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ-SALAZAR",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.